Retained Bone Wax on CT at One Year after Dacryocystorhinostomy: A Case Report
Retained Bone Wax on CT at One Year after Dacryocystorhinostomy: A Case Report
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泪囊鼻腔吻合术后一年 CT 上残留骨蜡：病例报告
DOI：
10.3348/jksr.2015.73.3.190
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
J. Jeong
中科院分区：
文献类型：
--
作者：
S. H. Kim;D. Park;Jeong;Young;J. Jeong
自1892年维克托霍斯利将骨蜡引入外科领域以来，骨蜡已广泛用于颅面外科手术，以机械控制骨表面和切割边缘的出血（1）。骨蜡作为一种成型的填塞物，为出血提供了一个机械屏障。它是惰性的，柔韧的，坚固的，足以填充骨缺损;然而，它是最低限度的可吸收的，可能会诱导炎症反应，干扰骨愈合，并增加感染率（2）。一些病例报告描述了在颅面手术中使用骨蜡控制出血后出现的症状性并发症（3-8）。但是，据我们所知，在眼眶手术系列中很少有患者因使用骨蜡而出现并发症（5），只有少数报告描述了CT和MRI检测到的骨蜡特征（3，4，6）。在这里，我们描述了一个临床诊断为慢性鼻窦炎的患者在泪囊鼻腔吻合术后骨蜡的影像学特征。
Bone wax has been widely used in craniofacial surgery to mechanically control bleeding from bone surfaces and cut edges, since it was introduced to the filed of surgery by Victor Horsley in 1892 (1). Bone wax acts as a molding tamponade, providing a mechanical barrier to hemorrhage. It is inert, pliable, and sturdy enough to fill bony defects; however, it is minimally resorbable and may induce inflammatory reactions, interfere with bone healing, and increase infection rates (2). Several case reports have described symptomatic complications that developed after the use of bone wax to control bleeding in craniofacial surgery (3-8). But, to our knowledge, rarely have there been patients in orbital surgical series that presented with complications due to the use of bone wax (5), and only a small number of reports have described the features of bone wax as detected on CT and MRI (3, 4, 6). Here, we describe the imaging features of bone wax in a patient with clinically diagnosed chronic rhinosinusitis after a dacryocystorhinostomy.